Application for Asylum and for Withholding of Removal
Use this form to apply for asylum in the United States and for withholding of removal (formerly called “withholding of deportation”). You may file for asylum if you are physically in the United States and you are not a U.S. citizen.
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This form is used to request humanitarian protection in the United States. It's for individuals who need safety from persecution, disaster, or certain crimes, including asylum seekers, refugees, trafficking victims, and those needing temporary protected status.
Quick Facts
Your current legal name as in your passport.
Complete date (MM/DD/YYYY) and city/country of birth.
Country where you hold citizenship.
Detailed description of the harm, persecution, or disaster you are fleeing.
Date you last entered the United States (MM/DD/YYYY).
List all documents supporting your application, including affidavits, country condition reports, and identification.
Sign under penalty of perjury.
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